11011 — Debride Skin Musc At Fx Site
Cite this view
HANK Price Transparency. (n.d.). Debride skin musc at fx site (OTHER 11011) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/11011?code_type=OTHER
“Debride skin musc at fx site (OTHER 11011) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/11011?code_type=OTHER. Accessed .
“Debride skin musc at fx site (OTHER 11011) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/11011?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $497–$1,455 (25th–75th percentile) across 252 hospitals · 714 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 11011 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| VIRGINIA MASON MEDICAL CENTER Outpatient | First Choice | Commercial | $15.40 | — | — | 2026-05-27 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Peachstate Medicaid | Medicaid | $25.72 | $80.00 | $48.00 | 2026-05-06 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Medicaid | Medicaid | $25.72 | $80.00 | $48.00 | 2026-05-06 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Amerigroup | Medicaid | $25.72 | $80.00 | $48.00 | 2026-05-06 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Wellcare Medicaid | Medicaid | $26.49 | $80.00 | $48.00 | 2026-05-06 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $38.92 | $51.90 | $25.95 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Inpatient | $38.92 | $51.90 | $25.95 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $41.52 | $51.90 | $25.95 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | United Healthcare | Commercial - Outpatient | $41.52 | $51.90 | $25.95 | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $43.12 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $43.12 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Aetna | Better Health Medicaid Plans | $43.79 | $2,800.00 | $924.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Anthem | Healthkeepers Medicaid Plans | $43.79 | $2,800.00 | $924.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Anthem | Healthkeepers Medicaid Plans | $43.79 | $2,800.00 | $924.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Aetna | Better Health Medicaid Plans | $43.79 | $2,800.00 | $924.00 | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $44.11 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $44.11 | $51.90 | $25.95 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Beech Street | Commercial | $44.11 | $51.90 | $25.95 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $44.11 | $51.90 | $25.95 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $44.11 | $51.90 | $25.95 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Excellus - Rmsco | Commercial | $44.11 | $51.90 | $25.95 | 2026-05-14 | MRF ↗ |
| GLENS FALLS HOSPITAL Both | Multiplan | Commercial | $44.11 | $51.90 | $25.95 | 2026-05-08 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $44.11 | $51.90 | $25.95 | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Hrgi | Commercial | $44.11 | $51.90 | $25.95 | 2026-05-14 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Phcs | Commercial | $44.11 | $51.90 | $25.95 | 2026-05-14 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $44.23 | $2,800.00 | $924.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|Sentara_Medicaid| Negotiated_Dollar | — | $44.23 | $2,800.00 | $924.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $44.67 | $2,800.00 | $924.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Standard_Charge|United_Healthcare|Medicaid| Negotiated_Dollar | — | $44.67 | $2,800.00 | $924.00 | 2026-05-13 | MRF ↗ |
| SOUTHSIDE COMMUNITY HOSPITAL, INC Both | Molina | Medicaid | $45.10 | $2,800.00 | $924.00 | 2026-05-13 | MRF ↗ |
| CENTRA BEDFORD MEMORIAL HOSPITAL Both | Molina | Medicaid | $45.10 | $2,800.00 | $924.00 | 2026-05-13 | MRF ↗ |
| SARATOGA HOSPITAL Both | Cigna | Commercial - Outpatient | $45.42 | $64.88 | $32.44 | 2026-05-09 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $45.46 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $45.95 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $47.31 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| SARATOGA HOSPITAL Both | Multiplan | Commercial - Outpatient | $48.66 | $64.88 | $32.44 | 2026-05-09 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Medicare A Wa Jf | Default | $49.74 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Washington Coordinated Care | Default | $50.75 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Aetna Medicare Advantage | Medicare Advantage | $50.75 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Humana Advantage Care Plans Med Advantage | Medicare Advantage | $52.13 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| THREE RIVERS HOSPITAL Both | Molina Healthcare Of Washington | Default | $53.08 | $273.20 | $273.20 | 2026-05-06 | MRF ↗ |
| THREE RIVERS HOSPITAL Both | Medicare A Wa Jf | Default | $53.08 | $273.20 | $273.20 | 2026-05-06 | MRF ↗ |
| SARATOGA HOSPITAL Both | United Healthcare | Commercial - Inpatient | $58.39 | $64.88 | $32.44 | 2026-05-09 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $60.14 | $234.00 | $68.59 | 2026-05-31 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Kaiser Foundation Health Plan Of The Northwest | Ppo | $60.28 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $62.83 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Bcbs | Commercial | $64.02 | $80.00 | $48.00 | 2026-05-06 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $65.10 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Blue Access & Small Group | $65.10 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $65.17 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Aetna | Commercial | $68.00 | $80.00 | $48.00 | 2026-05-06 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $69.44 | — | — | 2026-05-23 | MRF ↗ |
| ALBANY MEDICAL CENTER HOSPITAL Both | Blue Cross | Epo/Ppo/Hmo/Indemnity | $69.44 | — | — | 2026-05-14 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Uhc | Commercial | $70.40 | $80.00 | $48.00 | 2026-05-06 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Cigna | Commercial | $72.00 | $80.00 | $48.00 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Wayne County Jail | Commercial | $73.00 | $146.00 | $68.62 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Magellan Behavioral Health | — | $73.92 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $73.92 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Cigna | Default | $76.60 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| THREE RIVERS HOSPITAL Both | Medicare B Wa Jf | Default | $79.43 | $273.20 | $273.20 | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $79.71 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Caresource | Medicare | $80.00 | $80.00 | $48.00 | 2026-05-06 | MRF ↗ |
| STEPHENS COUNTY HOSPITAL Outpatient | Medicare | Medicare | $80.00 | $80.00 | $48.00 | 2026-05-06 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $81.17 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $81.17 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $81.17 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $86.04 | — | — | 2026-05-14 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Arkansas Total Care | Medicaid | $86.08 | — | — | 2026-05-09 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | First Choice Health Network | Default | $86.18 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $86.86 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $87.66 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $87.66 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Anthem Blue Cross] | $87.66 | — | — | 2026-05-09 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $88.94 | $234.00 | $68.59 | 2026-05-31 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Kaiser] | $89.29 | — | — | 2026-05-09 | MRF ↗ |
| ST BERNARDS FIVE RIVERS MEDICAL CENTER Outpatient | Caresource | Medicaid | $89.52 | — | — | 2026-05-09 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $90.18 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna | — | $91.17 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare | — | $91.17 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $91.41 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Medicare B Wa Jf | Default | $93.84 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Molina Healthcare Of Washington Mcr Adv | Medicare Advantage | $93.84 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Community Health Plan Of Wa | Medicare Advantage | $93.84 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Amerigroup Wellpoint | Medicare Advantage | $93.84 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $95.71 | $234.00 | $68.59 | 2026-05-31 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Blue Shield Of Wa Regence Mcr Adv | Medicare Advantage | $95.75 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Amerigroup Wellpoint | Medicaid Replacement | $95.75 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Molina Healthcare Of Washington Mcd Rep | Medicaid Replacement | $95.75 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Community Health Plan Of Wa | Default | $95.75 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | United Healthcare | Default | $95.75 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Medicaid Washington | Default | $95.75 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Molina Healthcare Of Washington | Default | $95.75 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Community Health Plan Of Wa Mcd Rep | Medicaid Replacement | $95.75 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Coordinated Care Of Wa Mcd Rep | Medicaid Replacement | $95.75 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| SNOQUALMIE VALLEY HOSPITAL Outpatient | Blue Shield Of Wa Regence | Default | $95.75 | $95.75 | $60.32 | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Aetna Rental Network | — | $98.56 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $98.56 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $98.56 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Behavioral Health | — | $98.56 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $101.46 | — | — | 2026-05-14 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $101.46 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $101.46 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jan 2026-Jun 2026] | $101.46 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jan 2026-Jun 2026] | $101.46 | — | — | 2026-05-06 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $104.67 | $234.00 | $68.59 | 2026-05-31 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $104.72 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Multiplan | — | $104.72 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $105.52 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Term Jul 2026-Dec 2026] | $105.52 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [L.A. Care] [Jul 2026-Dec 2026] | $105.52 | — | — | 2026-05-09 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Lawrence County Jail | Commercial | $109.50 | $146.00 | $68.62 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Marshall County Jail | Commercial | $109.50 | $146.00 | $68.62 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Lewis County Jail | Commercial | $109.50 | $146.00 | $68.62 | 2026-05-06 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $113.64 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $113.64 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $113.64 | — | — | 2026-05-09 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $113.64 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $113.64 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jun 2026-Dec 2026] | $113.64 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $113.64 | — | — | 2026-05-14 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Blue Shield Promise] [Term Jan 2026-May 2026] | $113.64 | — | — | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Multiplan | Commercial | $116.80 | $146.00 | $68.62 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Beech Street | Commercial Ppo | $116.80 | $146.00 | $68.62 | 2026-05-06 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Phcs | Commercial | $116.80 | $146.00 | $68.62 | 2026-05-06 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $117.70 | — | — | 2026-05-06 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Health Net] | $117.70 | — | — | 2026-05-09 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Health Net] | $117.70 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Health Net] | $117.70 | — | — | 2026-05-09 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $121.45 | $234.00 | $68.59 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $121.45 | $234.00 | $68.59 | 2026-05-31 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $123.20 | $123.20 | $80.08 | 2026-05-28 | MRF ↗ |
| LOS ANGELES GENERAL MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $124.19 | — | — | 2026-05-06 | MRF ↗ |
| Lac Harbor-ucla Medical Center Outpatient | [Medi-Cal Managed Care] | [Molina] | $124.19 | — | — | 2026-05-14 | MRF ↗ |
| LAC/OLIVE VIEW-UCLA MEDICAL CENTER Outpatient | [Medi-Cal Managed Care] | [Molina] | $124.19 | — | — | 2026-05-09 | MRF ↗ |
| LAC/RANCHO LOS AMIGOS NATIONAL REHABILITATION CTR Outpatient | [Medi-Cal Managed Care] | [Molina] | $124.19 | — | — | 2026-05-09 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Aetna | Commercial Hmo & Ppo - Inpatient | $131.40 | $146.00 | $68.62 | 2026-05-06 | MRF ↗ |
| GLENS FALLS HOSPITAL Outpatient | Emblem Ghi | Commercial | $138.00 | — | — | 2026-05-08 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Both | Firsthealth | Commercial | $140.16 | $146.00 | $68.62 | 2026-05-06 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cigna | — | $140.40 | $234.00 | $68.59 | 2026-05-31 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Mvp | Medicaid | $144.00 | — | — | 2026-05-08 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | Cdphp | Medicaid | $144.00 | — | — | 2026-05-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Anthem | Anthemmedicaid | $147.31 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Caresource | Caresourcemedicaid | $147.31 | — | — | 2026-05-27 | MRF ↗ |
| COLUMBIA MEMORIAL HOSPITAL Both | United Healthcare | Medicaid | $151.20 | — | — | 2026-05-08 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | United Healthcare | Unitedmedicaid | $151.73 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Amerihealth | Amerihealthmedicaid | $151.73 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Molina | Molinamedicaid | $151.73 | — | — | 2026-05-27 | MRF ↗ |
| FISHER-TITUS HOSPITAL Outpatient | Buckeye | Buckeyemedicaid | $151.73 | — | — | 2026-05-27 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Comm | — | $154.88 | $234.00 | $68.59 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Comm | — | $156.78 | $234.00 | $68.59 | 2026-05-31 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Medicaid | $157.90 | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Triwest | Healthcare Alliance | $157.90 | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Aetna | Rental Network | — | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Meridian Health Plan | — | $157.90 | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Prime Health Services | — | — | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Three Rivers | — | — | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Interplan Health Group | — | — | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Blue Cross Community Health Plan | Medicaid | $157.90 | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | — | — | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Workers Compensation | — | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Dentaquest | — | $157.90 | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Multiplan | — | — | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Molina | — | $157.90 | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Quanex Employees | — | — | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Siho Network Llc | — | — | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | Hfn Inc | Supplental Product | — | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| GIBSON COMMUNITY HOSPITAL Both | United Healthcare | — | — | $1,999.00 | $1,999.00 | 2026-05-23 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | $165.00 | $1,956.00 | $1,956.00 | 2026-05-22 | MRF ↗ |
| SUNY/STONY BROOK UNIVERSITY HOSPITAL Outpatient | Healthfirst | Child Health Plus | $165.00 | $1,956.00 | $1,956.00 | 2026-05-18 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Multiplan | Multiplan | — | $1,628.00 | $814.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna Rental | First Health | — | $1,628.00 | $814.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | 4 Most Zelis Stratose | 4 Most Zelis Stratose | — | $1,628.00 | $814.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Plan Of The Upper Ohio Valley | Health Plan Of The Upper Ohio Valley | — | $1,628.00 | $814.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Aetna | Better Health | — | $1,628.00 | $814.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Health Partners | Managed Medicaid | — | $1,628.00 | $814.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Caresource | Caresource | — | $1,628.00 | $814.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Cigna | Cigna | — | $1,628.00 | $814.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | Amerihealth Caritas Pa Medicaid | Amerihealth Caritas Pa Medicaid | — | $1,628.00 | $814.00 | 2026-05-13 | MRF ↗ |
| UNIONTOWN HOSPITAL Outpatient | University Of Pittsburgh Medical Ctr Health Plan | University Of Pittsburgh Medical Ctr Health Plan | $171.55 | $1,628.00 | $814.00 | 2026-05-13 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Comm | — | $175.50 | $234.00 | $68.59 | 2026-05-31 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $176.03 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Outpatient | Health Alliance | Commercial | $176.03 | — | — | 2026-05-14 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Wellspan | — | $184.86 | $234.00 | $68.59 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Multiplan | — | $187.20 | $234.00 | $68.59 | 2026-05-31 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Outpatient | Medicaid | Professional | $187.23 | $580.00 | $290.00 | 2026-05-13 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Outpatient | Medicaid | Professional | $187.23 | $580.00 | $290.00 | 2026-05-08 | MRF ↗ |
| Sparrow Specialty Hospital Inpatient | Medicaid | Professional | $187.23 | $580.00 | $290.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Outpatient | Medicaid | Professional | $187.23 | $580.00 | $290.00 | 2026-05-08 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Outpatient | Medicaid | Professional | $187.23 | $580.00 | $290.00 | 2026-05-09 | MRF ↗ |
| SPARROW CLINTON HOSPITAL Both | Medicaid | Professional Facility | $191.06 | $996.00 | $498.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $191.06 | $996.00 | $498.00 | 2026-05-09 | MRF ↗ |
| SPARROW IONIA HOSPITAL Both | Medicaid | Professional Facility | $191.06 | $996.00 | $498.00 | 2026-05-09 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $191.06 | $996.00 | $498.00 | 2026-05-23 | MRF ↗ |
| EDWARD W SPARROW HOSPITAL Both | Medicaid | Professional Facility | $191.06 | $996.00 | $498.00 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH-SPARROW CARSON Both | Medicaid | Professional Facility | $191.06 | $996.00 | $498.00 | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - SPARROW EATON Both | Medicaid | Professional Facility | $191.06 | $996.00 | $498.00 | 2026-05-09 | MRF ↗ |
| THREE RIVERS HOSPITAL Both | Molina Healthcare Of Washington Mcd Rep | Default | $191.25 | $273.20 | $273.20 | 2026-05-06 | MRF ↗ |
| THREE RIVERS HOSPITAL Both | Medicaid Washington | Default | $191.25 | $273.20 | $273.20 | 2026-05-06 | MRF ↗ |
| CHILDREN'S HOSPITALS & CLINICS OF MN Outpatient | Healthpartners | Healthpartners Pmap Professional | $194.80 | $1,762.00 | $1,762.00 | 2026-05-14 | MRF ↗ |
| CABELL HUNTINGTON HOSPITAL, INC Outpatient | Caresource | Wv Marketplace | — | — | — | 2026-05-24 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.